Provider Demographics
NPI:1326478595
Name:BRESSETTE, ERIKA KAPPES (DO)
Entity Type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:KAPPES
Last Name:BRESSETTE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:ERIKA
Other - Middle Name:KAPPES
Other - Last Name:ZAVYALOV
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:121 N WASHINGTON ST STE 202
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-3174
Mailing Address - Country:US
Mailing Address - Phone:703-469-9301
Mailing Address - Fax:
Practice Address - Street 1:121 N WASHINGTON ST STE 202
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-3174
Practice Address - Country:US
Practice Address - Phone:703-469-9301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-25
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA892922084P0800X
VA01022041622084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry